Individual provider Active NPI

Sharon Tong, O.D.

  • Optometrist
  • Nellis Afb, NV
National Provider Identifier
1457735953
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15341TLG Issued in CA
Practice address
5691 Rickenbacker Rd
Nellis Afb, NV 89191-7052
Phone
(702) 644-6671
Fax
(702) 644-6682
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15341TLG CA Primary

Addresses

Primary practice location

5691 Rickenbacker Rd
Nellis Afb, NV 89191-7052

Mailing address

5691 Rickenbacker Road
PMB 169
Nellis Afb, NV 89191
Phone (702) 644-6671

Other practice location 1

5280 Pendleton Ave Ste C0006
Joint Base Lewis McChord, WA 98433-1672
Phone (253) 964-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170721002930 NV Practitioner - Optometry 9234409319 Reassigns benefits to 2 organizations
I20230117002455 WA Practitioner - Optometry 9234409319 Reassigns benefits to 1 organization
I20260407003672 AZ Practitioner - Optometry 9234409319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevated Eyecare LLCGroup PAC ID 6002202181, 5 clinicians
Clarity Eyecare PLLCGroup PAC ID 6002278157, 2 clinicians

Practice addresses (Care Compare)

5280 Pendleton Ave
Suite C0006
Joint Base Lewis McChord, WA 98433-1672
Phone (253) 964-4140

5691 Rickenbacker Rd
Nellis Afb, NV 89191-7052
Phone (702) 644-6671

7071 N 138TH Ave
BLDG 1540
Glendale, AZ 85307-2006
Phone (623) 536-0332

7319 S Rainbow Blvd
Suite 100
Las Vegas, NV 89139-0434
Phone (702) 478-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15341TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eyecare PLLC Optometrist CurrentSince Oct 16, 2023 Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Elevated Eyecare LLC Optometrist CurrentSince Feb 24, 2022 Accepting new patients
Paul J Super OD a Professional Corporation Optometrist Past Accepting new patients
Ryan Peterson O.D., Inc. Optometrist PastSince May 9, 2021 Accepting new patients

Locations

7071 N 138th Ave
Bldg 1540
Glendale, AZ 85307
Phone (623) 248-4275

1627 Boulder City Pkwy
Boulder City, NV 89005
Phone (702) 294-2227

2461 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 636-2020

143 S Water St
Henderson, NV 89015
Phone (702) 944-9446

7319 S Rainbow Blvd
Ste 100
Las Vegas, NV 89139
Phone (702) 478-2020

10870 W Charleston Blvd
Ste 105
Las Vegas, NV 89135
Phone (702) 877-3937

4485 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 737-0097

7335 S Pecos Rd
Las Vegas, NV 89120
Phone (702) 451-1522

8230 W Sahara Ave
Ste 121
Las Vegas, NV 89117
Phone (702) 944-2001

5691 Rickenbacker Rd
Nellis AFB, NV 89191
Phone (702) 644-6671

1601 E Basin Ave
Ste 101
Pahrump, NV 89060
Phone (775) 751-1791

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

5280 Pendleton Ave
Ste C6
Joint Base Lewis McChord, WA 98433
Phone (253) 964-4140

5280 Pendleton Ave
#C6
Joint Base Lewis McChord, WA 98433

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1457735953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 RICKENBACKER ROAD",
            "address_2": "PMB 169",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "89191",
            "telephone_number": "702-644-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 RICKENBACKER RD",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891917052",
            "telephone_number": "702-644-6671",
            "fax_number": "702-644-6682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5280 Pendleton Ave Ste C0006",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984331672",
            "country_code": "US",
            "telephone_number": "253-964-4140",
            "fax_number": "253-964-1696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONG",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15341TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nellis Afb, NV

Sources for this page

Verify at the official NPI Registry.